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General NPI Number Information
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NPI Number | 1023309879
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Entity Type | Organization
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Legal Business Name | 2 CASA FOSTER CARE
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 9010 VISCOUNT BLVD STE 100
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City | EL PASO
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State | TX
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Zip | 79925-6511
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Country | US
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Telephone | 915-566-0826
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Fax | 915-566-0836
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Provider Business Mailing Address
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Address Line | 9010 VISCOUNT BLVD STE 100
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City | EL PASO
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State | TX
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Zip | 79925-6511
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Country | US
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Telephone | 915-566-0826
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA/ MARIO C DAVALOS/MAESE
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Credential |
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Telephone | 915-566-0826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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